A multifocal ophthalmic lens has a surface that varies across at least a portion of the lens to form a surface power map. The surface power map comprises a spiral, with a power that varies substantially periodically both radially outwards from and angularly about an optical axis of the lens. A period of the radial variation is greater than 100 microns and a period of the angular variation is greater than 6 degrees. Methods of making and using the multifocal ophthalmic lens are also described.